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Comment
Trauma
War & peace
2 min read

Hospitals are home to the truth of war

Remembering what war really is.
A black and white photo shows solider patients and nurses in a hospital.
Christmas in a German military hospital, Word War One.
Aussie~mobs, public domain, via Wikimedia.

I’ve been re-reading Erich Maria Remarque’s All Quiet on the Western Front in the run-up to Remembrance Day. Remarque, born in Westphalia in 1898, uses his own experiences of the horrors of the Western Front to paint a gut-wrenching portrait of its futility and suffering, seen through the eyes of 20-year-old Paul Baum. 

It had been towards the end of this First World War that Hiram Johnson, Republican Senator of California, observed that ‘the first casualty when war comes is truth.’ This is precisely Paul’s experience. 

The newspapers delivered to the soldiers at the Front are hopelessly, naively, offensively optimistic. They present a painfully, laughably discordant tissue of lies that deny the most basic truths of daily experience. When Paul goes home on leave, truth is even harder to find. His remote father only wants to hear tales of glory and courage and well-fed soldiers. His blabbering former teachers - the very ones who had cajoled his whole class to sign up - are patronising, ignorant and opinionated on the best route to victory. They literally have no idea, and worse, they don’t want to know.  

It’s only when he’s taken to a Catholic Hospital after an injury that Paul stumbles on an agonising truth -  

‘A hospital alone shows what war is.’ 

Paul’s vivid description of life on the wards backs this up. He witnesses the unceasing production line of shattered bodies tumbling into every available space. He’s warned against ‘The Dying Room’ which is conveniently, practically, located next to the mortuary. He catalogues the surrounding wards - ‘abdominal and spinal cases, head wounds, double amputations, jaw wounds, gas cases, nose, ear and neck wounds … the blind … lung wounds, pelvis wounds, wounds in the testicles …’ He’s grateful for the gentle, joyful kindness of Sister Libertine, ‘who spreads good cheer through the whole wing.’ 

This hospital is more eloquent on the theme of the futility of the fighting than any newspaper article or speech, censored or otherwise. 

For much of my adult life grainy videos of precision-guided bombs and leaders pounding their fist in defiant rhetoric have been the go-to guides to tell us the truth about modern warfare. I trust these sources less than ever, as I recall my instinctive respect for the ambulance drivers, nurses and doctors on the front-line - wherever it may be - marvelling at their courage and truth-telling and even-handed humanity. 

Their voices are shamefully drowned out in the world’s conflict zones, dwarfed by propaganda as insulting and truth-lite as the newspapers that doubled as toilet paper for both sides on the Western Front. And I cringe at the thought of what Paul and his young comrades would’ve made of hospitals - those oases of truth - becoming the targets of today’s bombs, missiles and drone strikes. 

We, rightly, remember the First World War as the very epitome of futility - Paul and his generation saw this truth far more clearly than we do. But let’s not congratulate ourselves, as we prepare for Acts of Remembrance in 2024, on having made any real progress in the last 100 years - hospitals across the globe’s conflict zones still tell us what war really is, if only we could hear, if only we would listen. 

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Care
Comment
Community
Mental Health
2 min read

Who holds the vital ingredient as healthcare shifts from hospital to community?

The trusted anchor institutions that can provide pastoral care and more.

Esther works as a Senior Consultant for the Good Faith Partnership. She sits in the secretariat for the ChurchWorks Commission.

A social prescribing project in full swing.
A social prescribing project in full swing.
Theos.

On 11 November, the Good Faith Partnership, the National Academy of Social Prescribing (NASP) and the Bishop of London convened a roundtable discussion in the House of Lords to call for a collaborative relationship between faith groups and NHS social prescribing providers. 

Faith leaders from the major religions in the UK gathered alongside senior officials such as from the Department for Health and Social Care, NHS England and arm’s length bodies.  

‘There are lots of exciting opportunities with a new government in place,’ said Charlotte Osborn-Forde, CEO of NASP, adding that as part of her desire to see social prescribing available in NHS services beyond GP surgeries ‘there are huge and untapped assets in communities.’  

Marianne Rozario from Theos, the lead researcher on a groundbreaking new report on faith and social prescribing, elaborated, saying that faith groups are trusted anchor institutions in local communities that are well networked, offer resources in the form of buildings and volunteers, and have expertise in pastoral and spiritual care.  

Mark Joannides, Deputy Director for Community Health in the Department of Health and Social Care, added that: ‘Faith groups are going to have to be part of this,’ when referring to the government’s health mission and the three big shifts from hospital to community, analogue to digital, and sickness to prevention.  

The conversation focused on how this integration could take place, particularly through securing shared investment funds for faith groups, co-locating healthcare services into faith buildings, and integrating faith groups into the NHS 10-year healthcare plan. 

A range of ideas were shared by those present including the importance of investing in faith groups to provide palliative care, focusing on reducing health inequalities, and investing in local infrastructure.  

On 30 January, Good Faith Partnership and Theos will publish the first ever report into the role of faith communities in the social prescribing system. This timely report collates research into the role of faith groups in social prescribing and aims to facilitate further discussion on how collaboration between faith groups and the NHS can support the needs of the most vulnerable in our society. Alongside the report, two ‘How To’ guides will be published, providing faith leaders and social prescribing link workers with a step-by-step process for building relationships with one another.  

To hear more about the research recommendations, explore next steps and to access the practical ‘how-to’ guides register for a free hour-long webinar on 30 January using this link: 

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